Survey Text

2018 2014 2010 2004
2017 2013 2007 2003
2016 2012 2006 2002
2015 2011 2005 2001
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2018
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2017
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2016
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2015
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2014
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2013
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2012
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2011
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2010
Survey form view entire document:  text  image

Question ID:: CMB.020_02.000

Instrument Variable Name:: CMHMF_2
QuestionText:
(book) C7 * Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS... [fill2: He/She] ...has many worries, or often seems worried.
0 Not true
1 Somewhat true
2 Certainly true
7 Refused
9 Don't know
UniverseText: Sample children GE 4
SkipInstructions:
(1-3,D,R) [goto CMHMF_3]

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2007
Survey form view entire document:  text  image

Question ID: CMB.010_00.000

Instrument Variable Name:CMHCOPY
Question Text:
* The following statements are not to be read to the respondent. They are displayed and included here for legal reasons.
* The next 6 items contained in CMHMF_1 through CMHDIFF are included in this survey with permission as indicated
below.
*The SDQ questions are copyrighted by Robert Goodman, Ph.D., FRCPSYCH, MRCP. State and local agencies may
use these questions without charge and without seeking separate permission provided the wording is not modified, all the
questions are retained, and Dr. Goodman's copyright is acknowledged.
* Enter 1 to Continue.
1Enter 1 to continue_
Universe Text: Sample children GE 4_
Skip Instructions:
(1) [goto CMHMF_1]
Question ID: CMB.020_02.000

Instrument Variable Name:CMHMF_2
Question Text:
(book) C7
* Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE,
SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS.
[fill2: He/She...]
...has many worries, or often seems worried.
1 Not true
2 Somewhat true
3 Certainly true
7 Refused
9 Don't know
Universe Text: Sample children GE 4
Skip Instructions:
(1-3,R,D) [goto CMHMF_3]

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2006
Survey form view entire document:  text  image

Question ID: CMB.010_00.000

Instrument Variable Name:CMHCOPY
Question Text:
* The following statements are not to be read to the respondent. They are displayed and included here for legal reasons.
* The next 6 items contained in CMHMF_1 through CMHDIFF are included in this survey with permission as indicated
below.
*The SDQ questions are copyrighted by Robert Goodman, Ph.D., FRCPSYCH, MRCP. State and local agencies may
use these questions without charge and without seeking separate permission provided the wording is not modified, all the
questions are retained, and Dr. Goodman's copyright is acknowledged.
* Enter 1 to Continue.
1Enter 1 to continue_
Universe Text: Sample children GE 4_
Skip Instructions:
(1) [goto CMHMF_1]
Question ID: CMB.020_02.000

Instrument Variable Name:CMHMF_2
Question Text:
(book) C7
* Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE,
SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS.
[fill2: He/She...]
...has many worries, or often seems worried.
1 Not true
2 Somewhat true
3 Certainly true
7 Refused
9 Don't know
Universe Text: Sample children GE 4
Skip Instructions:
(1-3,R,D) [goto CMHMF_3]

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2005
Survey form view entire document:  text  image

Question ID: CMB.020_02.000

Instrument Variable Name:CMHMF_2
Question Text:
(book) C7
* Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE,
SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: SC name] DURING THE PAST SIX MONTHS.
[fill2: He/She...]
...has many worries, or often seems worried.
1 Not true
2 Somewhat true
3 Certainly true
7 Refused
9 Don't know
Universe Text: Sample children GE 4
Skip Instructions:
(1-3,R,D) [goto CMHMF_3]

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2004
Survey form view entire document:  text  image

CMH.020_03.000

Instrument Variable Name: CSCL2_E2
Question Text:
(book) C7
*Read if necessary.
I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for [fill1: S.C. name] DURING THE PAST SIX MONTHS.
[fill2: He/She...]
...has many worries, or often seems worried.
1 Not true
2 Somewhat true
3 Certainly true
7 Refused
9 Don't know
Card C7
1. Not true
2. Somewhat true
3. Certainly true
Universe Text: Sample children GE 4
Skip Instructions:
(1-3,R,D) [goto CSCL2_S3]

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2003
Survey form view entire document:  text  image

CAU.345.020

I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for {S.C.name} DURING THE PAST SIX MONTHS.

FR: SHOW FLASHCARD C7.

(1) Not True
(2) Somewhat True
(3) Certainly True
(7) Refused {blind}
(9) Don't Know {blind}

{HE/SHE...}
Card C7
1. Not true
2. Somewhat true
3. Certainly true
CSCL2_P1 ... is rather solitary, prefers to play alone (for ages 4-11); would rather be alone than with other teenagers (for ages 12-17)
CSCL2_C2 ... is generally well-behaved, usually does what adults request
CSCL2_E2 ... has many worries or often seems worried
CSCL2_S3 ... is helpful if someone is hurt, upset or feeling ill
CSCL2_H2 ... is constantly fidgeting or squirming

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2002
Survey form view entire document:  text  image

CAU.345.020

I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for {S.C.name} DURING THE PAST SIX MONTHS.

FR: SHOW FLASHCARD C7.

(1) Not True
(2) Somewhat True
(3) Certainly True
(7) Refused {blind}
(9) Don't Know {blind}

{HE/SHE...}
Card C7
1. Not true
2. Somewhat true
3. Certainly true
CSCL2_P1 ... is rather solitary, prefers to play alone (for ages 4-11); would rather be alone than with other teenagers (for ages 12-17)
CSCL2_C2 ... is generally well-behaved, usually does what adults request
CSCL2_E2 ... has many worries or often seems worried
CSCL2_S3 ... is helpful if someone is hurt, upset or feeling ill
CSCL2_H2 ... is constantly fidgeting or squirming

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2001
Survey form view entire document:  text  image

CAU.345.020

I am going to read a list of items that describe children. For each item, please tell me if it has been NOT TRUE, SOMEWHAT TRUE, or CERTAINLY TRUE for {S.C.name} DURING THE PAST SIX MONTHS.

FR: SHOW FLASHCARD C7.

(1) Not True
(2) Somewhat True
(3) Certainly True
(7) Refused {blind}
(9) Don't Know {blind}

{HE/SHE...}
Card C7
1. Not true
2. Somewhat true
3. Certainly true
CSCL2_P1 ... is rather solitary, prefers to play alone (for ages 4-11); would rather be alone than with other teenagers (for ages 12-17)
CSCL2_C2 ... is generally well-behaved, usually does what adults request
CSCL2_E2 ... has many worries or often seems worried
CSCL2_S3 ... is helpful if someone is hurt, upset or feeling ill
CSCL2_H2 ... is constantly fidgeting or squirming